{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T21:19:13Z","timestamp":1775855953060,"version":"3.50.1"},"reference-count":71,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T00:00:00Z","timestamp":1721001600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Public Health Challenges"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Multimorbidity, the coexistence of two or more chronic conditions, presents a growing global challenge, particularly in low\u2010 and middle\u2010income countries such as Southeast Asia. This trend necessitates the development of sustainable integrated care models to prevent and manage multimorbidity effectively. However, progress in this area has been hampered, especially in underdeveloped regions, by various barriers, including the epidemiology of multimorbidity, how to get different specialists and doctors to work together most availably and manage the multiple medication issues and how to develop cost\u2010effective approaches to reduce the health burden of multimorbidity. Preventive measures in Southeast Asia, which could tackle multiple components which commonly comprise multimorbidity, include enhancing health literacy and health promotion through school\u2010 and community\u2010based educational activities, primary healthcare and related policies on employing taxes on tobacco, alcohol and sugary beverages. The social determinants of health\u2010encompassing poverty and low education may also influence research on multimorbidity. Moreover, stakeholder engagements involving national governments, World Health Organization (WHO) and Association of Southeast Asian Nations (ASEAN) are crucial. Management strategies focus on integrated care models, including patient\u2010centred primary healthcare, digital healthcare technologies, and medication management to control polypharmacy. Although research on multimorbidity in Southeast Asia is increasing, translating findings into practical measures was limited. Future efforts should prioritize evidence\u2010based approaches to prevent and manage multimorbidity effectively, addressing challenges like health system focusing on single chronic disease treatment independently, resource limitations, healthcare provider shortages and individual adherence issues. These ways promise to enhance the quality of life and health outcomes in this region.<\/jats:p>","DOI":"10.1002\/puh2.218","type":"journal-article","created":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T11:00:04Z","timestamp":1721041204000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Prevention and Management of Multimorbidity in Southeast Asia: A Narrative Review"],"prefix":"10.1002","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0711-2211","authenticated-orcid":false,"given":"Xiyu","family":"Feng","sequence":"first","affiliation":[{"name":"Department of Applied Epidemiology National Centre of Epidemiology and Population Health The Australian National University  Canberra Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haribondhu","family":"Sarma","sequence":"additional","affiliation":[{"name":"Department of Applied Epidemiology National Centre of Epidemiology and Population Health The Australian National University  Canberra Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Kelly","sequence":"additional","affiliation":[{"name":"Department of Applied Epidemiology National Centre of Epidemiology and Population Health The Australian National University  Canberra Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,7,15]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41572\u2010022\u201000376\u20104"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41572\u2010023\u201000437\u20102"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468\u20102667(18)30200\u20107"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arr.2017.05.003"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.2147\/RMHP.S97248"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13643\u2010021\u201001817\u2010z"},{"key":"e_1_2_13_8_1","volume-title":"Implementation Roadmap for Accelerating the Prevention and Control of Noncommunicable Diseases in South\u2010East Asia 2022\u20132030","author":"World Health Organization (WHO)","year":"2022"},{"key":"e_1_2_13_9_1","volume-title":"Addressing Ageism in ASEAN","author":"Sagoo K.","year":"2020"},{"key":"e_1_2_13_10_1","volume-title":"Action Plan for the Prevention and Control of Noncommunicable Diseases in South\u2010East Asia, 2013\u20132020: Extended to 2030","author":"World Health Organization (WHO)","year":"2022"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13643\u2010022\u201001996\u20103"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssmph.2017.03.007"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.873"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.18.220277"},{"key":"e_1_2_13_15_1","volume-title":"Thailand's Physical Activity Drive is Improving Physical Health","author":"World Health Organization (WHO)","year":"2018"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010022\u201008546\u20106"},{"key":"e_1_2_13_17_1","volume-title":"Germas\u2010Healthy Living Community Movement","author":"Ministry of Health Media in Indonesia","year":"2022"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.5334\/ijic.4174"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1081518"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.47102\/annals\u2010acadmedsg.2021416"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.15294\/edaj.v9i1.38471"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h176"},{"key":"e_1_2_13_23_1","volume-title":"Prevention and Control of Noncommunicable Diseases in Thailand\u2014The Case for Investment","author":"World Health Organization (WHO)","year":"2021"},{"key":"e_1_2_13_24_1","volume-title":"Surveillance of Noncommunicable Diseases\u2014Indonesia","author":"World Health Organization (WHO)","year":"2023"},{"key":"e_1_2_13_25_1","volume-title":"Surveillance of Noncommunicable Diseases\u2014Myanmar","author":"World Health Organization (WHO)","year":"2023"},{"key":"e_1_2_13_26_1","volume-title":"Framework for the Development and Implementation of Fiscal Measures on Sweet Beverages to Promote Health in ASEAN Member States","author":"The Association of Southeast Asian Nations (ASEAN)","year":"2018"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010022\u201008499\u2010w"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2021.698741"},{"key":"e_1_2_13_29_1","volume-title":"Key Highlights from the National Population Health Survey2020","author":"Lee C. 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